go back

Connecticut rates for HCPCS 35103

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypogastric, external)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,897.79 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,818.38 / $6,606.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $15,135.61 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $4,897.79 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,715.35 / $6,025.60
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,165.95 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,388.44 / $7,079.46